Organization Active NPI

Chiro-Dynamics & Wellness Center Inc

  • Rehabilitation Chiropractor
  • Boston, MA
National Provider Identifier
1699435578
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CHIRO-DYNAMICS & WELLNESS CENTER INC
Doing business as
Chiro-Dynamics & Wellness Center Inc
Practice address
233 Hancock St
Boston, MA 02125-2147
Phone
(888) 774-6306
Fax
(888) 731-6233
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Jean BaptisteNPI 1144768979
Title
Director
Phone
(188) 774-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

233 Hancock St
Boston, MA 02125-2147

Mailing address

PO Box 724886
Atlanta, GA 31139-1886
Phone (404) 552-2807

Other names 1

  • Chiro-Dynamics & Wellness Center Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220225001254 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0143614602 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

1744 Roswell Rd
Marietta, GA 30062
Phone (770) 679-5812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1699435578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724886",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391886",
            "telephone_number": "404-552-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HANCOCK ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021252147",
            "telephone_number": "888-774-6306",
            "fax_number": "888-731-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-DYNAMICS & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "JEAN BAPTISTE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "188-774-6306"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro-Dynamics & Wellness Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.